Individual
LONNIE HARVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
14799 DIX TOLEDO RD, SOUTHGATE, MI 48195-2507
(313) 287-1314
Mailing address
14799 DIX TOLEDO RD, SOUTHGATE, MI 48195-2507
(313) 287-1314
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401013184
MI
Other
Enumeration date
09/22/2017
Last updated
05/09/2024
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